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Organization

CINCINNATI HEALTH CARE GROUP PSC

Active
Parent organization
CINCINNATI HEALTH CARE GROUP PSC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CINCINNATI HEALTH CARE GROUP PSC
Authorized official
MR. KEN FOLZ (CHIEF OPERATING OFFICER)
(859) 957-1080
Entity
Organization

Contact information

Practice address
340 THOMAS MORE PKWY, SUITE 160B, CRESTVIEW HILLS, KY 41017-5100
(859) 331-6466
Mailing address
334 THOMAS MORE PKWY, SUITE 200, CRESTVIEW HILLS, KY 41017-3464

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
300131
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2278324
OH
05
36001048
KY
01
490004723
RAILROAD MEDICARE
KY
01
490004728
RAILROAD MEDICARE
KY
Enumeration date
07/24/2006
Last updated
11/02/2009
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